Summary

Overview

Work History

Education

Skills

Timeline

Jacqueline Pentecost

3600 Oak Lake Lane Shafter,CA

Summary

Professional Referral Specialist with track record of delivering impactful results. Adept at coordinating referrals, navigating complex systems, and ensuring seamless communication between parties. Strong focus on team collaboration, adaptability, and achieving desired outcomes. Known for problem-solving skills, reliability, and maintaining high standards in all tasks.

Overview

years of professional experience

Work History

Pediatric Medical Office Supervisor

First Pediatrics Medical Group, Inc

10.2013 - Current

As a Supervisor my duties would include: Training new staff, Educating new procedures and Policies, Ensuring Referrals are completed in a timely manner and to the appropriate specialist including approved authorization from insurance, Follow up on labs, Radiology, and specialist reports. I also am trained as a referral specialist. I manage samples and supplies, maintain an organized and efficient work area, and communicate in a positive manner with clients for appointments and specialist reports.

Front Office Receptionist

Yosemite Pediatrics Inc.

09.2011 - 05.2013

As a Front office Receptionist my duties included: Answering calls and answered client inquires on a huge variety of topics, I dealt with unhappy or belligerent customer with a calm and positive manner, ensured incoming and outgoing mail reached the appropriate destinations, and juggle multiple tasks at the same time and completed them with haste and accuracy. I also found creative solutions to resolving diverse customer problems. Part of my duties as a front office receptionist was to clean waiting room and water plants and cycle out reading material. I always maintain a well groomed appearance as a company representative to reflect professional demeanor. I am trained as a referral specialist.

Referral Specialist

Elevance Health

Bakersfield, CA

03.2021 - Current

**Coordinated** referral processes with insurance providers to ensure timely authorization and compliance with policies.
**Streamlined** communication channels between patients and specialists to improve appointment scheduling efficiency.
**Monitored** patient follow-ups on referrals, ensuring accurate tracking of consultations and report deliveries.
**Reviewed** incoming documentation to verify completeness before processing referrals to maintain quality standards.
**Implemented** best practices in managing confidential patient information per HIPAA regulations during referral handling.
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
Obtained prior authorization for Type procedures.
Enhanced patient satisfaction by promptly addressing inquiries and resolving issues related to referrals.
Identified opportunities for process improvements within the referral department, leading to increased efficiency and accuracy.
Provided ongoing training for new Referral Specialist staff members, ensuring consistent quality service delivery across the team.
Processed referral requests from patients, doctors and other health care professionals.
Attended continuing education courses to stay current on referral processes and best practices.

Business Owner, Manicurist

Jackies Nails

06.2000 - 08.2011

As an owner of Jackies Nails I had many duties including: maintaining a professional and sterile environment, booking appointments, Handling money, Professional and great customer service.

Health Unit Coordinator, Dispatcher

Valley Children’s Hospital

09.1996 - 04.2000

As a Health Unit Coordinator my job duties included: Dispatched neonatal and pediatric teams to various facilities for severely ill children, Transcribed physician orders, ordered lab studies, radiology studies and specialist consults. I also Maintained Patient charts and had professional telephone communications.

Education

Medical Terminology

Fresno Adult School

Fresno, Ca

High School Diploma - undefined

Hoover High School

06.1992

Skills

I have many skills that would be a great asset such as:

Medical terminology

Patient confidentiality

Physician authorizations

Follow-up skills

Healthcare industry

Multi-line telephone operation

Multi-line phone proficiency

Scheduling software

Medical terminology knowledge

Notetaking and documentation

HIPAA regulations

Patient scheduling

Accurate documentation

Referring physician communication

MS office expertise

Referral tracking

Diagnostic appointments

Outbound calls

Medical scheduling

Electronic patient charts

Customer service

Insurance precertification processes

Insurance authorizations

Organization and time management

Problem-solving

HIPAA compliance

EHR software

Collaboration and teamwork

Appointment setting

Administrative support

Electronic recordkeeping

Office coordination

Adaptable and flexible

Data entry

Computer proficiency

Equipment troubleshooting and maintenance

Teamwork and collaboration

Time management

Attention to detail

Problem-solving abilities

Reliability

Multitasking Abilities

Excellent communication

Critical thinking

Active listening

Effective communication

Adaptability and flexibility

Decision-making

Self motivation